Catherine Limperopoulos, Ph.D. Director & Chief

Catherine Limperopoulos, Ph.D., is Center Director of Prenatal, Neonatal & Maternal Health Research and Director & Chief of the Developing Brain Institute (DBI) at Children’s National. Dr. Limperopoulos is also (tenured) Professor of Radiology, Neurology and Pediatrics and Professor of Obstetrics and Gynecology at the George Washington University (GWU) School of Medicine & Health Sciences.Dr. Limperopoulos studies the causes and consequences of adverse prenatal environments and brain and placental development in high-risk fetal, preterm and infant populations. As Center Director, she continues to develop novel tools and precision medicine solutions to diseases that have their origins in the womb but don’t fully manifest until adulthood.

Catherine Limperopoulos

Central to her research is applying advanced magnetic resonance imaging (MRI) techniques to identify important biomarkers and to better elucidate the timing and evolution of impaired brain maturation, as well as the brain’s adaptive responses. Her lab leads the world in applying advanced imaging techniques to identify early brain and placental biomarkers of risk and resilience for neurodevelopmental impairment. Her goal is to develop early and reliable signals that can identify the high-risk fetus prior to irreversible brain injury. Dr. Limperopoulos also leads the Clark Parent & Child Network Prenatal-Neonatal Pillar, a project that links parents to needed resources and time-sensitive mental health support. The Network was underwritten by a transformational, $36 million investment. And powered by that funding, the DC Mother-Baby Wellness program she oversees has received more than 1,200 referrals in fewer than two years. She also was named the A. James & Alice B. Clark Foundation Distinguished Professor of Maternal-Infant Health, an appointment that honors her unique achievements and that supports her groundbreaking research to improve the lives of children and families.

DBI has assembled leading scientists and healthcare providers from across myriad disciplines and healthcare models (tertiary care to primary care) that are at the forefront of clinical research and translational efforts focused on accelerating screening, diagnosing, treating and preventing prenatal onset brain disorders to improve child health and well-being for life. She is an occupational therapist and pediatric neuroscientist who has demonstrated repeated successes in completing novel, patient-centered clinical and translational research in uncomplicated and high-risk pregnant women and neurodiagnostic and neurodevelopmental surveillance in high-risk fetuses and preterm infants. In addition to funding from private donors, like the Clark Foundation, she has or has had funding from the National Institutes of Health (NIH), Canadian Institutes of Health Research, the Department of Defense, Patient-Centered Outcomes Research Institute and the Centers for Disease Control and Prevention. She has authored more than 170 peer-reviewed publications. She also leads the Integrating Special Populations Module of the Children’s National/GWU NIH Clinical and Translational Science Award, which focuses on improving recruitment and retention of disadvantaged women into preventive maternal-fetal clinical trials aimed at optimizing long-term, maternal-infant health and well-being.

Dr. Limperopoulos is founder and director of the DC Perinatal Consortium, which brings together multiple stakeholders from our regional (Washington, D.C.) healthcare partners in obstetrics, psychiatry and pediatrics, and an established community advisory board with representation from low-income Black communities, including the DC Primary Care Association, Mary’s Center, Community of Hope, Unity Health Care, Mamatoto Village and Black patients, representatives with expertise in advocacy and policy. The overarching mission of this DC collaborative is to determine optimal delivery of screening and low-cost interventions aimed at reducing the striking health disparities experienced by women of color in the District of Columbia.

Research, Education and Innovation Week 2024 awards

Kocher K, Ngwa J, Galla JT, Basu SK, Ottolini K, Andescavage N, du Plessis A, Limperopoulos C. Early epigenetic biomarkers of accelerated aging in extremely versus very preterm infants. Children’s National Hospital 14th Annual Research, Education and Innovation Week. Washington, D.C. April 2024. (Certificate of Excellence awarded to lead author, Kristen Kocher. Basic Science: Fellow Award.)


Wu Y, Niforatos-Andescavage N, Wisner KL, Kapse K, Araki S, Mastracchio CE, Teramoto H, Kasper ML, du Plessis AJ, Limperopoulos C. Prenatal SSRI exposure is associated with reduced regional fetal brain growth and cortical folding. Children’s National Hospital 14th Annual Research, Education and Innovation Week. Washington, D.C. April 2024. (Certificate of Excellence awarded to lead author, Yao Wu. Clinical research: Career-Level Faculty Award.)


Bond S, Henderson D, Small-Lewis M, Andescavage N, Le HN, Limperopoulos C. Mommy&Me Virtual Mommy Meet-Ups: Building Kinship, Boosting Resilience and Restoring Balance for Black Moms. Children’s National Hospital 14th Annual Research, Education and Innovation Week. Washington, D.C. April 2024. (High-scoring poster)


Adon J, Assefa H. Carrillo M, Chafin M, Dampha M, Saleem N, Kang R, Petersen C, Brechot C, Henderson D, Andescavage N, Bassa MM, Keller J, Le HN, Limperopoulos C. Drivers of maternal wellness in a randomized control trial of perinatal mental health in low resourced Black and African American pregnant women. Children’s National Hospital 14th Annual Research, Education and Innovation Week. Washington, D.C. April 2024. (High-scoring poster)

 

Recent publications & presentations

2024 | April

Kocher K, Ngwa J, Andescavage N, Henderson D, Limperopoulos C. Prenatal exposure to COVID-19 pandemic is linked with epigenetic age acceleration in newborns. Children’s National Hospital 14th Annual Research, Education and Innovation Week. Washington, D.C. April 2024.

2024 | April

Vozar T, Clarke U, Kohrt B, Dugoni H, King B, Marrow T, Brees-Saunders Z, Mooney M, Limperopoulos C. The DC Mother-Baby Wellness program: Continuing to adapt and expand to meet evolving Children's National and community needs. Children’s National Hospital 14th Annual Research, Education and Innovation Week. Washington, D.C. April 2024.

2024 | April

Reze C, Andescavage NN, Basu S, Galla J, Limperopoulos C, Wu Y. Sex differences in pituitary gland volume in preterm infants. Children’s National Hospital 14th Annual Research, Education and Innovation Week. Washington, D.C. April 2024.

2024 | April

Andescavage N, Liggett M, McCants C, du Plessis A, Limperopoulos C. The effects of intrauterine programming: Prenatal COVID exposure and offspring outcomes. Children’s National Hospital 14th Annual Research, Education and Innovation Week. Washington, D.C. April 2024.

Wu Y, De Asis-Cruz J, Limperopoulos C. Brain structural and functional outcomes in the offspring of women experiencing psychological distress during pregnancy. Mol Psychiatry. 2024 Feb 28. doi: 10.1038/s41380-024-02449-0. Epub ahead of print. PMID: 38418579
https://pubmed.ncbi.nlm.nih.gov/38418579/

Chirumamilla VC, Hitchings L, Mulkey SB, Anwar T, Baker R, Larry Maxwell G, De Asis-Cruz J, Kapse K, Limperopoulos C, du Plessis A, Govindan RB. Association of brain functional connectivity with neurodevelopmental outcomes in healthy full-term newborns. Clin Neurophysiol. 2024 Feb 15;160:68-74. doi: 10.1016/j.clinph.2024.02.009. Epub ahead of print. PMID: 38412745
https://pubmed.ncbi.nlm.nih.gov/38412745/

2024 | January

Andescavage N, Lu YC, Wu Y, Kapse K, Keller J, Von Kohorn I, Afifi A, Vezina G, Henderson D, Wessel DL, du Plessis AJ, Limperopoulos C. Intrauterine exposure to SARS-CoV-2 infection and early newborn brain development. Cereb Cortex. 2024 Jan 31;34(2):bhae041. doi: 10.1093/cercor/bhae041. PMID: 38385890
https://pubmed.ncbi.nlm.nih.gov/38385890/

2023 | December

Reitz JG, Zurakowski D, Kuhn VA, Murnick J, Donofrio MT, d'Udekem Y, Licht D, Kosiorek A, Limperopoulos C, Axt-Fliedner R, Yerebakan C, Carpenter JL. Brain injury and neurodevelopmental outcomes in children undergoing surgery for congenital heart disease. JTCVS Open. 2023 Dec 4;17:229-247. doi: 10.1016/j.xjon.2023.11.018. PMID: 38420558; PMCID: PMC10897661.

https://pubmed.ncbi.nlm.nih.gov/38420558/

2023 | November

Cook KM, De Asis-Cruz J, Kim JH, Basu SK, Andescavage N, Murnick J, Spoehr E, Liggett M, du Plessis AJ, Limperopoulos C. Experience of early-life pain in premature infants is associated with atypical cerebellar development and later neurodevelopmental deficits. BMC Med. 2023 Nov 14;21(1):435. doi: 10.1186/s12916-023-03141-w. PMID: 37957651
https://pubmed.ncbi.nlm.nih.gov/37957651/

Basu SK, Kapse KJ, Murnick J, Pradhan S, Spoehr E, Zhang A, Andescavage N, Nino G, du Plessis AJ, Limperopoulos C. Impact of bronchopulmonary dysplasia on brain GABA concentrations in preterm infants: Prospective cohort study. Early Hum Dev. 2023 Nov;186:105860. doi: 10.1016/j.earlhumdev.2023.105860. Epub 2023 Sep 21. PMID: 37757548
https://pubmed.ncbi.nlm.nih.gov/37757548/

De Asis-Cruz J, Andescavage N, Donofrio MT, Vezina G, Wessel D, du Plessis A, Limperopoulos C. Disrupted Functional Brain Connectome in the Fetus With Congenital Heart Disease. Circ Res. 2023 Nov 10;133(11):959-961. doi: 10.1161/CIRCRESAHA.123.323276. Epub 2023 Oct 12. PMID: 37823309
https://pubmed.ncbi.nlm.nih.gov/37823309/

2023 | October

Kocher K, Bhattacharya S, Niforatos-Andescavage N, Almalvez M, Henderson D, Vilain E, Limperopoulos C, Délot EC. Genome-wide neonatal epigenetic changes associated with maternal exposure to the COVID-19 pandemic. BMC Med Genomics. 2023 Oct 30;16(1):268. doi: 10.1186/s12920-023-01707-4. PMID: 37899449
https://pubmed.ncbi.nlm.nih.gov/37899449/

Andescavage NN, Pradhan S, Gimovsky AC, Kapse K, Donofrio MT, Cheng JJ, Sharker Y, Wessel D, du Plessis AJ, Limperopoulos C. Magnetic Resonance Spectroscopy of Brain Metabolism in Fetuses With Congenital Heart Disease. J Am Coll Cardiol. 2023 Oct 17;82(16):1614-1623. doi: 10.1016/j.jacc.2023.08.013. PMID: 37821172
https://pubmed.ncbi.nlm.nih.gov/37821172/

2023 | August

Whitehead MT, Limperopoulos C, Schlatterer SD, Mulkey SB, Fraser JL, du Plessis AJ. Hippocampal rotation is associated with ventricular atrial size. Pediatr Radiol. 2023 Aug;53(9):1941-1950. doi: 10.1007/s00247-023-05687-6. Epub 2023 May 15. Erratum in: Pediatr Radiol. 2023 May 27;: PMID: 37183230
https://pubmed.ncbi.nlm.nih.gov/37183230/

2023 | June

Basu SK, Pradhan S, Sharker YM, Kapse KJ, Murnick J, Chang T, Lopez CA, Andescavage N, duPlessis AJ, Limperopoulos C. Severity of prematurity and age impact early postnatal development of GABA and glutamate systems. Cereb Cortex. 2023 Jun 8;33(12):7386-7394. doi: 10.1093/cercor/bhad046. PMID: 36843135; PMCID: PMC10267637
https://pubmed.ncbi.nlm.nih.gov/36843135/

2024 | February

2023 | May

De Asis-Cruz J, Limperopoulos C. Harnessing the power of advanced fetal neuroimaging to understand in utero footprints for later neuropsychiatric disorders. Biol Psychiatry. 2023 May 15;93(10):867-879. doi: 10.1016/j.biopsych.2022.11.019. Epub 2022 Dec 5. PMID: 36804195
https://pubmed.ncbi.nlm.nih.gov/36804195/

Saeed H, Lu YC, Andescavage N, Kapse K, Andersen NR, Lopez C, Quistorff J, Barnett S, Henderson D, Bulas D, Limperopoulos C. Influence of maternal psychological distress during COVID-19 pandemic on placental morphometry and texture. Sci Rep. 2023 May 10;13(1):7374. doi: 10.1038/s41598-023-33343-4. PMID: 37164993; PMCID: PMC10172401
https://pubmed.ncbi.nlm.nih.gov/37164993/

Kim JH, De Asis-Cruz J, Krishnamurthy D, Limperopoulos C. Towards a more informative representation of the fetal-neonatal brain connectome using variational autoencoder. Elife. 2023 May 15;12:e80878. doi: 10.7554/eLife.80878. Epub ahead of print. PMID: 37184067
https://pubmed.ncbi.nlm.nih.gov/37184067/

Bann CM, Newman JE, Poindexter B, Okoniewski K, DeMauro S, Lorch SA, Wilson-Costello D, Ambalavanan N, Peralta-Carcelen M, Limperopoulos C, Kapse K, Davis JM, Walsh M, Merhar S. Outcomes of Babies with Opioid Exposure (OBOE): protocol of a prospective longitudinal cohort study. Pediatr Res. 2023 May;93(6):1772-1779. doi: 10.1038/s41390-022-02279-2. Epub 2022 Aug 30. Erratum in: Pediatr Res. 2023 Oct;94(4):1581. PMID: 36042329; PMCID: PMC9971338
https://pubmed.ncbi.nlm.nih.gov/36042329/

2023 | April

Kim JH, De Asis-Cruz J, Kapse K, Limperopoulos C. Systematic evaluation of head motion on resting-state functional connectivity MRI in the neonate. Hum Brain Mapp. 2023 Apr 1;44(5):1934-1948. doi: 10.1002/hbm.26183. Epub 2022 Dec 28. PMID: 36576333; PMCID: PMC9980896
https://pubmed.ncbi.nlm.nih.gov/36576333/

Andescavage N, Bullen T, Liggett M, Barnett SD, Kapse A, Kapse K, Ahmadzia H, Vezina G, Quistorff J, Lopez C, du Plessis A, Limperopoulos C. Impaired in vivo feto-placental development is associated with neonatal neurobehavioral outcomes. Pediatr Res. 2023 Apr;93(5):1276-1284. doi: 10.1038/s41390-022-02340-0. Epub 2022 Nov 5. PMID: 36335267; PMCID: PMC10147575
https://pubmed.ncbi.nlm.nih.gov/36335267/

Park J, Jang M, Heier L, Limperopoulos C, Zun Z. Rapid anatomical imaging of the neonatal brain using T2 -prepared 3D balanced steady-state free precession. Magn Reson Med. 2023 Apr;89(4):1456-1468. doi: 10.1002/mrm.29537. Epub 2022 Nov 24. PMID: 36420869; PMCID: PMC10208121
https://pubmed.ncbi.nlm.nih.gov/36420869/

Weiner S, Wu Y, Kapse K, Krishnamurthy D, Limperopoulos C. Elevated maternal anxiety during the COVID-19 pandemic alters newborn hippocampal and amygdala development. Children’s National Hospital 13th Annual Research, Education and Innovation Week. Washington, D.C. April 2023. (Award-winning poster: Clinical research: Graduate student)

Lundberg RS, Basu SK, Andescavage N, Pradhan S, Ottolini KM, Kapse KJ, Limperopoulos C. Early parenteral lipid intake improves cerebellar neurometabolism in preterm infants. Children’s National Hospital 13th Annual Research, Education and Innovation Week. Washington, D.C. April 2023. (Award-winning poster: Clinical research: Fellows/residents)

2023 | March
Bann CM, Newman JE, Okoniewski KC, Clarke L, Wilson-Costello D, Merhar S, Mack N, DeMauro S, Lorch S, Ambalavanan N, Limperopoulos C, Poindexter B, Walsh M, Davis JM. Psychometric Properties of the Prenatal Opioid Use Perceived Stigma Scale and Its Use in Prenatal Care. J Obstet Gynecol Neonatal Nurs. 2023 Mar;52(2):150-158. doi: 10.1016/j.jogn.2022.12.002. Epub 2023 Jan 22. PMID: 36696952; PMCID: PMC9992302
https://pubmed.ncbi.nlm.nih.gov/36696952/

Chirumamilla VC, Hitchings L, Mulkey SB, Anwar T, Baker R, Larry Maxwell G, De Asis-Cruz J, Kapse K, Limperopoulos C, du Plessis A, Govindan RB.
Functional brain network properties of healthy full-term newborns quantified by scalp and source-reconstructed EEG. Clin Neurophysiol. 2023 Mar;147:72-80. doi: 10.1016/j.clinph.2023.01.005. Epub 2023 Jan 23. PMID: 36731349; PMCID: PMC9975070
https://pubmed.ncbi.nlm.nih.gov/36731349/

2023 | February
Kim JH, De Asis-Cruz J, Cook KM, Limperopoulos C. Gestational age-related changes in the fetal functional connectome: in utero evidence for the global signal. Cereb Cortex. 2023 Feb 20;33(5):2302-2314. doi: 10.1093/cercor/bhac209. PMID: 35641159; PMCID: PMC9977380
https://pubmed.ncbi.nlm.nih.gov/35641159/

2022 | April
Wu Y, Espinosa KM, Barnett SD, Kapse A, Quistorff JL, Lopez C, Andescavage N, Pradhan S, Lu YC, Kapse K, Henderson D, Vezina G, Wessel D, du Plessis AJ, Limperopoulos C. Association of elevated maternal psychological distress, altered fetal brain, and offspring cognitive and social-emotional outcomes at 18 months. JAMA Netw Open. 2022 Apr 1;5(4):e229244. doi: 10.1001/jamanetworkopen.2022.9244. PMID: 35486403; PMCID: PMC9055453
https://pubmed.ncbi.nlm.nih.gov/35486403/

2022 | January
Largent A, De Asis-Cruz J, Kapse K, Barnett SD, Murnick J, Basu S, Andersen N, Norman S, Andescavage N, Limperopoulos C. Automatic brain segmentation in preterm infants with post-hemorrhagic hydrocephalus using 3D Bayesian U-Net. Hum Brain Mapp. 2022 Jan 13. doi: 10.1002/hbm.25762. Epub ahead of print. PMID: 35023255
https://pubmed.ncbi.nlm.nih.gov/35023255/

Limperopoulos C, Wessel DL, du Plessis AJ. Understanding the maternal-fetal environment and the birth of prenatal pediatrics. J Am Heart Assoc. 2022 Jan 11:e023807. doi: 10.1161/JAHA.121.023807. Epub ahead of print. PMID: 35014863
https://pubmed.ncbi.nlm.nih.gov/35014863/

Basu SK, Pradhan S, Barnett SD, Mikkelsen M, Kapse KJ, Murnick J, Quistorff JL, Lopez CA, du Plessis AJ, Limperopoulos C. Regional differences in gamma-aminobutyric acid and glutamate concentrations in the healthy newborn brain. AJNR Am J Neuroradiol. 2022 Jan;43(1):125-131. doi: 10.3174/ajnr.A7336. Epub 2021 Nov 11. PMID: 34764083
https://pubmed.ncbi.nlm.nih.gov/34764083/